Elavil and Bowel Function

Hello - after struggling with irritable bowel for 3plus years,
I recently began taking Elavil which has been a godsend for
alleviating abdominal pain - The only thing that remains
is "phantom" pain because I was so used to the lower abdominal
pain. However, my stool consistency is still loose, and the
stools break apart. Can you tell me whether this is normal
and will eventually go away or whether I should not expect
to be totally "cured" by the Elavil?? Also would a probiotic
help??  What about diet?? I now find I can eat and drink
things I could not before I went on the Elavil. I have no
constipation but do have more than 3 bowel movements a day -
not really diarrhea but still rather loose. Thank you so
much for your response.
Katie2

[Kevin Pho, MD]

To answer your questions.

1) It has been shown that tricyclic antidepressants such as Elavil can slow transit time and improve symptoms in IBS.  However, it is difficult to say that the symptoms may be totally "cured".  This would be patient-dependent.

2) Studies are limited for the role of probiotics.  To my knowledge, there is no definitive study showing any benenfit for probiotic therapy for the treatment of IBS.

3) Regarding diet, the only proven benefit for IBS would be increasing the fiber in the diet.  Fiber supplements such as Metamucil or Fibercon should be considered.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

[TJV]

  May 21, 2003 (Orlando)